KIWAN FOUNTAIN (Credential# 1602803) is licensed (Medication Administration Certification) with Connecticut Department of Consumer Protection. The license effective date is January 14, 2019. The license expiration date date is January 14, 2021. The license status is ACTIVE.
KIWAN FOUNTAIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSMA.981002847. The credential type is medication administration certification. The effective date is January 14, 2019. The expiration date is January 14, 2021. The business address is 31 Gillett Street, Hartford, CT 06105. The current status is active.
| Licensee Name | KIWAN FOUNTAIN |
| Credential ID | 1602803 |
| Credential Number | DSMA.981002847 |
| Credential Type | Medication Administration Certification |
| Business Address |
31 Gillett Street Hartford CT 06105 |
| Business Type | EMPLOYEE ONLY |
| Status | ACTIVE - CERTIFIED |
| Active | 1 |
| Issue Date | 2019-01-14 |
| Effective Date | 2019-01-14 |
| Expiration Date | 2021-01-14 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1535897 | DSMA.001534113 | Medication Administration Certification | 2013-11-06 | 2015-11-05 - 2017-11-04 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kiwan Fountain | 31 Gillett Streeet, Hartford, CT 06105 | Medication Administration Certification | ~ |
| Street Address | 31 Gillett Street |
| City | Hartford |
| State | CT |
| Zip Code | 06105 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gwaine K Holmes | 31 Gillett Street, Hartford, CT 06100 | Notary Public Appointment | 1971-11-12 ~ 1976-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
| Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
| Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
| Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
| Find all Licenses in zip 06105 | |||
| City | Hartford |
| Zip Code | 06105 |
| License Type | Medication Administration Certification |
| License Type + County | Medication Administration Certification + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Francesann Ayuyu | 41 Fountain St, Norwich, CT 06360 | Medication Administration Certification | ~ |
| Joy'l Fountain | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 2009-03-22 ~ 2011-03-21 |
| Bianca Miller | 154 Fountain St, New Haven, CT 06515 | Medication Administration Certification | ~ |
| Olivia Wood | 360 Fountain St., New Haven, CT 06515 | Medication Administration Certification | 2019-04-10 ~ 2021-04-09 |
| Phaydra Delmas | 74 Fountain St., Norwich, CT 06360 | Medication Administration Certification | 2019-04-03 ~ 2021-04-03 |
| Carl Smith | 69 Fountain St, Norwich, CT 06360 | Medication Administration Certification | 2018-10-23 ~ 2020-10-23 |
| Bianca Whitaker | 409 Fountain St 3rd Floor, New Haven, CT 06515 | Medication Administration Certification | ~ |
| Betty Bertrand | 399 Fountain St 1fl, New Haven, CT 06515 | Medication Administration Certification | 2019-03-22 ~ 2021-03-22 |
| Maricela Magana | 95 Fountain Street, New Haven, CT 06515 | Medication Administration Certification | ~ |
| Christopher Fountain | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 2010-09-22 ~ 2012-09-21 |
Please comment or provide details below to improve the information on KIWAN FOUNTAIN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).